After a doctor removes the Mirena IUD, a person may experience some mild pain or bleeding. This may continue for a few days. If a doctor used a hysteroscope to remove the IUD, the person may also feel some cramping and have a bloody discharge for a few days after the procedure.

The most common side effect of Mirena is bleeding. In most cases, Mirena-related bleeding will go away over the first 3 to 6 months but in some patients, bleeding will continue for longer periods of time.

For most women with a Mirena IUD, not having a period at all is actually the most common side effect. Typically, there is an adjustment phase when you first get a Mirena, and during this time, your period may be irregular, infrequent, or more like spotting. Usually after 6 months, your period goes away completely.

After the removal of a hormonal IUD, your periods may be irregular for a few months. Then, your cycle should return to the way it was before the IUD was inserted. Your periods should return to normal almost immediately after removing a non-hormonal copper IUD.

How Long Does It Take To Ovulate After IUD Removal? You might be able to ovulate straight away after IUD removal, but on average it can take between 10 to 12 days after you remove your IUD for you to start ovulating. For most couples, it takes around four to six months of trying to conceive.

Another reason you may have trouble getting pregnant after IUD removal, says Merhi, is scarring in the uterus from the IUD itself. “This is especially true if you had any type of infection, which could cause difficulty conceiving and might increase the chance of a miscarriage,” he says.

When implanted, the IUD secretes a hormone much like progesterone known as levonorgestrel. Since the device is prescribed to stay put for five years, the woman’s body stops producing progesterone. According to Healthline, this happens because the woman’s body becomes dependent on the IUD.